Kisuule Flora, Howell Eric E
Division of Hospital Medicine, Department of Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, MFL West, 6th Floor, Baltimore, MD 21224, USA.
Division of Hospital Medicine, Department of Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, MFL West, 6th Floor, Baltimore, MD 21224, USA.
Obstet Gynecol Clin North Am. 2015 Sep;42(3):433-46. doi: 10.1016/j.ogc.2015.05.003.
The forces promoting the hospitalist model arose from the need for high-value care; therefore, improving quality and cost has been part of the hospitalist formula for success. The factors driving the rapid growth of generalist and subspecialty hospitalists include nationally mandated quality and safety measures, increasing age and complexity of the hospitalized patient, reduced residency duty hours, increased economic pressures to contain costs and reduce length of stay, and also primary care physicians, and specialists, relinquishing hospital privileges to focus on outpatient practices. Hospitalists are playing key roles in patient safety and quality as either leaders or practitioners in the field.
推动住院医师模式的力量源于对高价值医疗的需求；因此，提高质量和控制成本一直是住院医师成功模式的一部分。推动全科和专科住院医师迅速增长的因素包括国家规定的质量和安全措施、住院患者年龄增长和病情复杂性增加、住院医师值班时间减少、控制成本和缩短住院时间的经济压力增大，以及初级保健医生和专科医生放弃医院特权以专注于门诊业务。住院医师作为该领域的领导者或从业者，在患者安全和质量方面发挥着关键作用。
